CAJ | 학술논문

目的：探讨人工关节置换术后患者的学习需求。方法便利选择2012年6月至2013年12月在庆元县人民医院进行髋关节或膝关节置换术的患者82例，于患者出院前1～2 d 应用中文版患者学习需求量表（patient learning needs scale， PLNS）和自行设计的一般情况问卷进行调查。结果该组患者 PLNS 总分为（130．1±25．6）分，处于较高得分水平；各亚量表中标准化评分最高者为日常活动及治疗，其次为用药、并发症及症状以及疾病相关问题。老年患者 PLNS 评分显著高于中青年患者，而文化程度高者的 PLNS 评分低于文化程度低者，差异均有统计学意义（均 P ＜0．05）。结论护理人员应重视关节置换术后患者的日常活动及治疗、用药、并发症及症状等领域的信息需求，有针对性地进行出院教育，尤其是对于低学历和高龄患者。
목적：탐토인공관절치환술후환자적학습수구。방법편리선택2012년6월지2013년12월재경원현인민의원진행관관절혹슬관절치환술적환자82례，우환자출원전1～2 d 응용중문판환자학습수구량표（patient learning needs scale， PLNS）화자행설계적일반정황문권진행조사。결과해조환자 PLNS 총분위（130．1±25．6）분，처우교고득분수평；각아량표중표준화평분최고자위일상활동급치료，기차위용약、병발증급증상이급질병상관문제。노년환자 PLNS 평분현저고우중청년환자，이문화정도고자적 PLNS 평분저우문화정도저자，차이균유통계학의의（균 P ＜0．05）。결론호리인원응중시관절치환술후환자적일상활동급치료、용약、병발증급증상등영역적신식수구，유침대성지진행출원교육，우기시대우저학력화고령환자。
Objective To investigate the learning needs in patients with artificial joint replacement.Methods By convenience sampling,82 patients were selected and investigated by using Chinese version of patient learning needs scale (PLNS)and self-designed general scale at 1 - 2 days before the patients were dis-charged.Results Total score of PLNS was 130.1±25.6,which is in a high level.In subscales of PLNS,the subscale of daily activities and treatment had the highest standardized score,followed by medication,com-plications and symptoms,and the subscale of disease-related problems had lowest score.Elderly patients had significantly higher PLNS scores than young patients,and patients who had higher levels of education had lower PLNS scores (all P <0.05).Conclusion Nurses should pay attention to the information needs of daily activities and treatment,medication,complications and symptoms in patients with joint replacement. Specific discharge education should be applied in patients,especially for low-educated and elderly patients.